Frequency format diagram and probability chart for breast cancer risk communication: A prospective, randomized trial

Karthik Ghosh, Brianna J. Crawford, Sandhya Pruthi, Constance I. Williams, Lonzetta Neal, Nicole P. Sandhu, Ruth E. Johnson, Dietlind Wahner-Roedler, Marcia K. Britain, Stephen S. Cha, Amit Ghosh

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Breast cancer risk education enables women make informed decisions regarding their options for screening and risk reduction. We aimed to determine whether patient education regarding breast cancer risk using a bar graph, with or without a frequency format diagram, improved the accuracy of risk perception. Methods: We conducted a prospective, randomized trial among women at increased risk for breast cancer. The main outcome measurement was patients' estimation of their breast cancer risk before and after education with a bar graph (BG group) or bar graph plus a frequency format diagram (BG+FF group), which was assessed by previsit and postvisit questionnaires. Results: Of 150 women in the study, 74 were assigned to the BG group and 76 to the BG+FF group. Overall, 72% of women overestimated their risk of breast cancer. The improvement in accuracy of risk perception from the previsit to the postvisit questionnaire (BG group, 19% to 61%; BG+FF group, 13% to 67%) was not significantly different between the 2 groups (P = .10). Among women who inaccurately perceived very high risk (≥ 50% risk), inaccurate risk perception decreased significantly in the BG+FF group (22% to 3%) compared with the BG group (28% to 19%) (P = .004). Conclusion: Breast cancer risk communication using a bar graph plus a frequency format diagram can improve the short-term accuracy of risk perception among women perceiving inaccurately high risk.

Original languageEnglish (US)
Article number18
JournalBMC Women's Health
Volume8
DOIs
StatePublished - Oct 20 2008

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Communication
Breast Neoplasms
Education
Patient Education
Risk Reduction Behavior

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

Frequency format diagram and probability chart for breast cancer risk communication : A prospective, randomized trial. / Ghosh, Karthik; Crawford, Brianna J.; Pruthi, Sandhya; Williams, Constance I.; Neal, Lonzetta; Sandhu, Nicole P.; Johnson, Ruth E.; Wahner-Roedler, Dietlind; Britain, Marcia K.; Cha, Stephen S.; Ghosh, Amit.

In: BMC Women's Health, Vol. 8, 18, 20.10.2008.

Research output: Contribution to journalArticle

Ghosh, K, Crawford, BJ, Pruthi, S, Williams, CI, Neal, L, Sandhu, NP, Johnson, RE, Wahner-Roedler, D, Britain, MK, Cha, SS & Ghosh, A 2008, 'Frequency format diagram and probability chart for breast cancer risk communication: A prospective, randomized trial', BMC Women's Health, vol. 8, 18. https://doi.org/10.1186/1472-6874-8-18
Ghosh, Karthik ; Crawford, Brianna J. ; Pruthi, Sandhya ; Williams, Constance I. ; Neal, Lonzetta ; Sandhu, Nicole P. ; Johnson, Ruth E. ; Wahner-Roedler, Dietlind ; Britain, Marcia K. ; Cha, Stephen S. ; Ghosh, Amit. / Frequency format diagram and probability chart for breast cancer risk communication : A prospective, randomized trial. In: BMC Women's Health. 2008 ; Vol. 8.
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